Clinical guidelines for hyperkinetic disorder. European Society for Child and Adolescent Psychiatry.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to H G Eisert.
Explore the source record for details and available documents.
A crossover 'placebo'-controlled, double-blind design was used to examine the effectiveness of an oligoantigenic diet in 49 children with hyperactive/disruptive behavior disorder. Effects of diet were compared with those yielded by stimulant medication (methylphenidate). The study was conducted in an inpatient unit at the Department of Child and Adolescent Psychiatry, Central Institute of Mental Health, Mannheim. Change in behavior was measured in standardized situations by trained raters, including behavior assessment when testing with CPT and PAT, during a free play situation, and at school. Twelve children (24%) showed significant behavioral improvement in two behavior ratings during diet relative to control diet conditions. Methylphenidate used in 36 children yielded more responders (44%) than diet. The amount of positive changes in behavior in those who received both treatments was about the same. Although only effective in a minority of children, dietary treatment cannot be neglected as a possible access to treating hyperactive/disruptive children and merits further investigation.
94 patients (mean age 15,4 years) with anorexia nervosa were investigated. We found cardiovascular parameters in correlation with body weight. ECG-changes had no connection with weight and concentration of potassium. Pulse and systolic blood pressure decreased, concentration of urea and SGOT and SGPT increased with weight decreases. Compared with the results of the adults of Fichter (1985), pulse and blood pressure changed more often, whereas the concentration of potassium often rested unchanged. Therapy with neuroleptics calls for ECG-controls. Interesting was the finding that we found less raised levels of cortisol in the group with extremely low weight on admission.
The aim of the present study was to compare inpatient, day hospital and home treatment of 10 child psychiatric disorders as defined in the Multi-axial Classification Scheme. The subjects were 109 patients from two child psychiatric hospitals who fulfilled clearly defined criteria. They comprised about 10 to 15% of the total clinical population of the two hospitals. The patient were assigned at random to the three treatment modalities. Treatment effectiveness was evaluated blind by experienced child psychiatrists not involved in the study. There were no significant differences between the treatment modalities in duration of treatment. Neither were there any significant differences between the treatment modalities with respect to treatment effectiveness, although there were some overall differences between different diagnostic categories. For a small group of carefully selected children day hospital and home treatment can therefore be looked upon as alternatives to inpatient treatment.
Home treatment has been heralded as a viable alternative to other more conventional treatment approaches. It seems to fulfill legal (and ethical) requirements in that it imposes relatively few restrictions on the patient. Considering that it is clearly in line with contemporary views, e.g. that problems are best treated where they occur, and has thus found wide acceptance, it is surprising that this type of intervention has so rarely been the treatment of choice. Based on a review of the literature and our own experience, we propose tentative criteria for successful home treatment with the goal of encouraging its use.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.